Individual provider Active NPI

Breeana Sobieski, LMSW

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1003158957
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095196 Issued in MI
Practice address
340 N Main St Ste 311
Plymouth, MI 48170-1250
Phone
(734) 404-8634
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 6801095196 MI Primary

Addresses

Primary practice location

340 N Main St Ste 311
Plymouth, MI 48170-1250

Mailing address

340 N Main St Ste 311
Plymouth, MI 48170-1250
Phone (734) 404-8634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002000241 MI Practitioner - Clinical Social Worker 1759656754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

186 N Main St
Unit 5
Plymouth, MI 48170-1236
Phone (734) 404-8634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sollars and Associates CurrentSince Aug 28, 2017 Accepting new patients
Arbor Psychology Group, PLLC CurrentSince Jan 19, 2022 Accepting new patients
Your Path Through Counseling LLC Clinical CurrentSince Sep 5, 2024 Accepting new patients
Arbor Psychology Group of Northville, PLLC PastSince Jan 19, 2022 Accepting new patients

Locations

725 S Adams Rd
Ste 235
Birmingham, MI 48009
Phone (248) 593-9276

44450 Pinetree Dr
Ste 101
Plymouth, MI 48170
Phone (734) 738-0897

340 N Main St
Ste 311
Plymouth, MI 48170
Phone (734) 404-8634

186 N Main St
Unit 5
Plymouth, MI 48170
Phone (734) 404-8634

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1003158957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N MAIN ST STE 311",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701250",
            "telephone_number": "734-404-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MAIN ST STE 311",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701250",
            "telephone_number": "734-404-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBIESKI",
        "first_name": "BREEANA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.